Senior SIU Investigator - Insurance Fraud & Forensics
Dormont Manufacturing Co
Travelers Insurance in North Carolina is seeking a meticulous SIU Investigator to manage insurance investigations focused on uncovering fraudulent activity. The ideal candidate will utilize analytical skills and problem-solving techniques to analyze claims and provide exemplary service throughout the process. Strong case management skills, along with a minimum of two years of investigative experience are essential for this role, which involves comprehensive investigations across various lines of business. Benefits include health insurance, retirement contributions, and wellness programs. #J-18808-Ljbffr Dormont Manufacturing Co
$46.99k - $122.4k
...disciplinary provider groups in a prepayment environment Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. Researches and... ...the recovery of company lost as a result of fraud matters. Assists team in identifying resources...SeniorFraudHourly payFull timeTemporary workLocal area$70.4k - $116.2k
...of the best property casualty insurers in the industry for over 170... ...Is the Opportunity? Travelers Investigative Services provides industry-... ...fraudulent practices. As an SIU Investigator, you will analyze... ...subject matter expert (liaison) on fraud to business and industry...FraudWork at officeLocal areaShift work$46.99k - $122.4k
CVS Health is seeking a full-time Healthcare Fraud Investigator located in North Carolina. This role involves managing complex fraud cases, investigating fraudulent claims, and preparing documentation for legal review. Candidates should possess a Bachelor's degree or equivalent...SeniorFraudFull time$70.35k - $205.8k
We Are: Accenture Security is one of the fastest growing areas of our business, and our global Cyber Investigation and Forensic Response (CIFR) practice is at the heart of how we help clients prepare for, respond to, and recover from the most consequential cyber incidents...SeniorWork experience placementLive inWork at officeLocal area- ...GradeNC12About UsThe mission of the North Carolina Department of Insurance is to promote a stable insurance market through unbiased... ...agents, adjusters, bail bondsmen and more, along with investigating fraud matters involving insurance consumers and any entity or individual...FraudWork experience placementWork at officeRemote workFlexible hours
- ...seeking a professional to manage strategic fraud, waste, and abuse activities. This role... ...requirements while leading a team to investigate fraud referrals and preparing saving reports... ...pay and benefits including health insurance and flexible working schedules. #J-1880...SeniorFraudRemote jobFlexible hours
- Practical Adult Insights is seeking an Insurance Fraud Investigator in North Carolina to evaluate insurance claims and verify their authenticity. This position entails collecting information about claimants, conducting surveillance, and documenting findings clearly. The...Fraud
$60k
What does an Insurance Fraud Investigator do? An insurance fraud investigator works for an insurance company to determine whether a claim is made under false pretenses. This role is especially important in disability claims, where evidence of limited movement or quality...FraudRemote work$28 - $32 per hour
Description Command Investigations, LLC is seeking an Insurance Field Investigator with a minimum of three years experience to become part of a dynamic team... ...This is a great opportunity for individuals with prior SIU experience who demonstrate integrity, independence, and...Hourly payFull timePart timeWork at officeRemote workFlexible hours$67.12k
## Senior AnalystApplylocations: Wake County, NCtime type: Full timeposted on: Posted... ...id: JR-117654**Agency**Dept of Insurance**Division**Administration**Job Classification... ..., bail bondsmen and more, along with investigating fraud matters involving insurance consumers...SeniorFraudContract workWork experience placementWork at officeRemote workFlexible hoursNight shift- ...Job Description Job Description ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate...FraudLocal areaNight shiftWeekend work
$51.08k
...Investigator Charlotte Do you love getting to the bottom of things? Do you have a track record of conducting successful investigations... ...compromise the organization's integrity, including theft and fraud committed against the Lottery, its vendors, players, and retailers...FraudCasual workFlexible hoursNight shiftWeekend work$28 - $32 per hour
A leading investigations firm is seeking an Insurance Field Investigator in Raleigh, NC. The role involves conducting insurance claims investigations, interviewing involved parties, and preparing detailed reports. Required qualifications include 3-5 years of relevant experience...Hourly payPart time- Centene Corporation is seeking a skilled Investigator to lead complex internal investigations and ensure compliance with laws and regulations... .... A comprehensive benefits package, including health insurance and flexible work options, is offered. #J-18808-Ljbffr Centene...SeniorRemote jobFlexible hours
- NATIONAL INVESTIGATIVE TRAINING ACADEMY INCORPORAT is seeking an experienced surveillance investigator in Charlotte, NC. The role requires... ...standards. Join our regional investigative team focused on insurance defense across the southeastern United States. #J-18808-Ljbffr...SeniorFull timePart time
- Insurance is seeking an Industrial Commission Investigator (Special Agent) in North Carolina to conduct investigations into workers' compensation fraud and other statutory violations. This role requires travel across the region without fixed office requirements. The ideal...FraudWork at office
$107.7k - $199.3k
...sensitive, and high-impact internal investigations across the organization.... ...and the ability to influence senior leadership decisions while... ...Licenses/Certifications Certified Fraud Investigator preferred. Pay... ...competitive pay, health insurance, 401(k) and stock purchase plans...FraudFull timePart timeWork at officeRemote workFlexible hours- ...to ensure the integrity and accuracy of claims processes. The role involves conducting audits/investigations, ensuring compliance, and identifying opportunities to prevent fraud. The ideal candidate should possess a Bachelor's Degree and 2-4 years of relevant experience,...Fraud
- Humana Inc is seeking an experienced Dentist for their Dental Fraud and Waste Lead role. This position involves conducting clinical... ...strong communication skills, and have both clinical and investigative experience. Benefits include 401k match, paid time off, and tuition...FraudRemote job
- ...Payfuture Technologies is seeking a Forensic Scientist I to analyze forensic evidence in a crime lab setting, requiring completion of Forensic Biology training. Successful candidates will have a bachelor's degree in relevant fields like biology or forensic science. The...
- A leading pharmaceutical company in Raleigh, NC seeks an experienced Investigator - Exceptions / OOS Writer to lead and author investigations in a regulated environment. This role involves root cause analysis, ensuring compliance with cGMP, and collaborating cross-functionally...Senior
- JPMorgan Chase is seeking an Associate in Fraud Strategy to design and validate fraud strategies. The role requires excellent analytical skills and the ability to collaborate with various teams to enhance fraud detection while minimizing revenue loss. The successful candidate...SeniorFraud
- ...accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and... ...resolution and closure. Identifies opportunities to target fraud, waste, and abuse or discrepancies in claims submissions....FraudWork experience placement
- 慨正橡扯 is seeking a Senior Quantitative Analytics Associate to join their Fraud Risk team in North Carolina. You'll leverage advanced analytics to combat fraud and optimize business outcomes. The role demands expertise in SQL, Python, and machine learning algorithms, along...SeniorFraudFull time
- Ally seeks a Senior Counsel to provide legal advice supporting the Deposits business, focusing on consumer banking legal risks, including fraud and financial regulations. This hybrid position is located in North Carolina or Michigan. The ideal candidate has a law degree...SeniorFraud
- 6AM City, LLC is seeking an IT Application Systems Specialist to support and enhance the Actimize Fraud platform. In this role, you will ensure compliance with risk management and regulatory obligations while providing system enhancements and user support. The ideal candidate...SeniorFraudRemote work
- Employee Benefits Corporation is seeking a Fraud Prevention Analyst to identify and respond to fraud risks across products and operations. This role involves investigation, analytics, and risk management, providing actionable insights to prevent fraud. Applicants should...FraudRemote job
- NATIONAL INVESTIGATIVE TRAINING ACADEMY INCORPORAT is seeking an experienced surveillance investigator to work in Asheville, NC and surrounding... ...maintain a clean criminal and driving record. Join a leading insurance defense investigation company in the southeastern United...Full timePart time
- Surveillance Investigator: Greensboro, NC Description Regional Investigative company is looking for an experienced surveillance investigator... ..., NC and the surrounding area. We are a Florida based insurance defense investigation company offering a full line of services...Full timePart timeRemote work
- Description Regional Investigative company is looking for an experienced surveillance investigator in Asheville, NC and the surrounding area. We are a Florida based insurance defense investigation company offering a full line of services throughout the southeastern United...Full timePart time
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